British Columbia Centre for Excellence in HIV/AIDS, St, Paul's Hospital, 608 - 1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.
Harm Reduct J. 2014 Feb 21;11:7. doi: 10.1186/1477-7517-11-7.
There has been widespread support for harm reduction programs as an essential component for responding to the HIV and illicit drug use epidemics. However, despite the growing international acceptance of harm reduction, there continues to be strong opposition to this approach, with critics alleging that harm reduction programs enable drug use. Vancouver, Canada provides a compelling case study that demonstrates that many positive impacts of harm reduction can be attained while addiction treatment-related goals are simultaneously supported. While the evidence for harm reduction is clearly mounting, it is unfortunate that ideological and political barriers to implementing harm reduction programs in Canada remain. As evidenced by Vancouver and elsewhere, harm reduction programs do not exacerbate drug use and undermine treatment efforts and should thereby occupy a well-deserved space within the continuum of programs and services offered to people who inject drugs.
减少伤害项目作为应对艾滋病毒和非法药物使用流行的重要组成部分，得到了广泛支持。然而，尽管减少伤害的做法在国际上得到了越来越多的认可，但仍有强烈的反对意见，批评者声称减少伤害项目使吸毒行为变得更容易。加拿大温哥华提供了一个令人信服的案例研究，表明在同时支持成瘾治疗相关目标的情况下，可以实现减少伤害的许多积极影响。虽然减少伤害的证据越来越多，但不幸的是，加拿大在实施减少伤害项目方面仍然存在意识形态和政治障碍。正如温哥华和其他地方所表明的那样，减少伤害项目并没有加剧吸毒行为，也没有破坏治疗工作，因此应该在为注射毒品者提供的方案和服务连续体中占有应有的一席之地。
